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In addition, although demonstrations are not supposed to cost more than what the traditional spending would have, GAO has estimated CMS has approved spending limits that were billions higher for the demonstrations. Medicaid is also moving more to managed care, with states using it in more areas and more populations.
In one example of concerns about managed care, GAO says that more could be done to ensure that states with inadequate managed care dental provider networks take action to strengthen them. Also, with improper payments in the whole Medicaid program estimated at $17.5 billion in 2014, GAO says setting appropriate rates for managed care organizations is one key point for oversight.
In the midst of these changes, Medicaid enrollees have reported access to care comparable to privately insured people.
In 2012, GAO noted that officials in about half of states reported challenges in getting enough participating specialty providers, including for pediatric services. Data from 2007 to 2009 indicated that 14% of noninstitutionalized Medicaid-covered children potentially needed mental health services, but most did not get them. The GAO has also found that about two-thirds of Medicaid children did not go to a dentist in 2010, whereas about 42% of privately insured children did not, although Medicaid children had greater needs for dental care. All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. Now, the school students need not wander from pillar to post in Lok Sewa Kendras or tehsil offices for preparing caste certificate.

Chief Secretary, Government of Chhattisgarh, Sunil Kumar has ordered the officials of the General Administration Department (GAD) to simplifty the process of preparing the caste certificates of Scheduled Tribe, Scheduled Caste and Other Backward Class communities in the State. Taking a dig at the State Government, State President of Bhartiya Boudh Mahasabha, Sudhir Bhartiya said that the Scheduled Caste (SC), Scheduled Tribe (ST), and Other Backward Class (OBC) students in the State are having lot of problems in getting the caste certificates.
The General Administration Department (GAD), Government of Chhattisgarh, has decided the area of working for the high-level investigation committees formed for the verification of caste certificates of candidates belonging to Scheduled Caste, Scheduled Tribe and Other Backward Classes in Bilaspur, Surguja and Bastar divisions. The district administration has decided to seek online applications for providing certificated to the people of Raipur district. Now the students will not have to run pillar to post for obtaining caste certificates (Scheduled Caste, Scheduled Tribe and other Backward Class) would be distribution at the respective schools. Issues may include enrollees potentially losing limits on cost-sharing and certain benefits that were traditionally mandatory. However, they report problems in getting specialty care including mental health and dental care. She has nothing to disclose in regard to affiliations with or financial interests in any organizations that might have an interest in any part of this article.
ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. The Collector Thakur Ram Singh has directed the SDOs and tehsildars to prepare manual caste certificates of the the school premises.

Raman Singh has issued instructions to officials concerned that the students of standard 10th and 12th, belonging to the category of Scheduled Caste, Scheduled Tribe and Other Backward Classes, should be compulsorily awarded their caste certificates before they pass out from school. The Chief Secretary was addressing the meeting of the GAD officials at the Mantralaya on Thursday.
In a press conference held at Raipur Press Club on Thursday, Bhartiya Said, 'The concerned department is asking for the deed of 1950. The online caste certificate system would be introduced in the district with in a month from now, said District Collector Dr. With the assistance of Chhattisgarh Institute (TRTI) and Revenue Department, Chhattisgarh School Education Department introducted this services. And we need to offer effective and young people friendly help for every child of any age at the first signs of difficulty."Waiting for a child's mental health to deteriorate until it hits crisis point causes untold distress and damage to their lives and carries a heavy social and economic cost.
Rohit Yadav in a meeting held at the Collectorate under the chairmanship of Chhattisgarh State Backward Class Commission chairman Dr. Singh issued instructions in the aforementioned context at the meeting of Chhattisgarh Tribal Advisory Council, held at Vidhan Sabha premises yesterday on July 22 evening.

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